Zhanqi Zhao1,2, Jin-Shou Zhang3, Ying-Tzu Chen3, Hou-Tai Chang4, Yeong-Long Hsu3, Inéz Frerichs5, Andy Adler6. 1. Department of Biomedical Engineering, Fourth Military Medical University, Xi'an, China. 2. Institute of Technical Medicine, Furtwangen University, Villingen-Schwenningen, Germany. 3. Division of Chest Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan. 4. Department of Critical Care Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nanya S. Rd., Banciao Dist., New Taipei City, 220, Taiwan, ROC. houtai38@gmail.com. 5. Department of Anesthesiology and Intensive Care Medicine, University Medical Center of Schleswig-Holstein Campus Kiel, Kiel, Germany. 6. Department of Systems and Computer Engineering, Carleton University, Ottawa, Canada.
Abstract
BACKGROUND: Clinical management of COVID-19 requires close monitoring of lung function. While computed tomography (CT) offers ideal way to identify the phenotypes, it cannot monitor the patient response to therapeutic interventions. We present a case of ventilation management for a COVID-19 patient where electrical impedance tomography (EIT) was used to personalize care. CASE PRESENTATION: The patient developed acute respiratory distress syndrome, required invasive mechanical ventilation, and was subsequently weaned. EIT was used multiple times: to titrate the positive end-expiratory pressure, understand the influence of body position, and guide the support levels during weaning and after extubation. We show how EIT provides bedside monitoring of the patient´s response to various therapeutic interventions and helps guide treatments. CONCLUSION: EIT provides unique information that may help the ventilation management in the pandemic of COVID-19.
BACKGROUND: Clinical management of COVID-19 requires close monitoring of lung function. While computed tomography (CT) offers ideal way to identify the phenotypes, it cannot monitor the patient response to therapeutic interventions. We present a case of ventilation management for a COVID-19patient where electrical impedance tomography (EIT) was used to personalize care. CASE PRESENTATION: The patient developed acute respiratory distress syndrome, required invasive mechanical ventilation, and was subsequently weaned. EIT was used multiple times: to titrate the positive end-expiratory pressure, understand the influence of body position, and guide the support levels during weaning and after extubation. We show how EIT provides bedside monitoring of the patient´s response to various therapeutic interventions and helps guide treatments. CONCLUSION: EIT provides unique information that may help the ventilation management in the pandemic of COVID-19.
Authors: András Lovas; Rongqing Chen; Tamás Molnár; Balázs Benyó; Ákos Szlávecz; Fatime Hawchar; Sabine Krüger-Ziolek; Knut Möller Journal: Front Med (Lausanne) Date: 2022-05-19
Authors: Serge J H Heines; Bas C T van Bussel; Melanie J Acampo-de Jong; Frank C Bennis; Rob J J van Gassel; Rald V M Groven; Nanon F L Heijnen; Ben J M Hermans; René Hounjet; Johan van Koll; Mark M G Mulder; Marcel C G van de Poll; Frank van Rosmalen; Ruud Segers; Sander Steyns; Ulrich Strauch; Jeanette Tas; Iwan C C van der Horst; Sander M J van Kuijk; Dennis C J J Bergmans Journal: Sci Rep Date: 2022-08-25 Impact factor: 4.996